How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $154.88 | Facility | None | $56.23 | $66.07 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $177.83 Typical High $190.55 | Professional | None (both parts) | $56.23 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $28.84 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $26.92 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $46.77 | $91.20 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $33.11 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $44.67 Typical High $151.36 | Professional | TC · Technical part | $21.88 | $44.67 | $151.36 |
Highmark BCBS Setting Facility Modifier None Typical Low $177.83 Median $630.96 Typical High $1,862.09 | Facility | None | $177.83 | $630.96 | $1,862.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $77.62 Typical High $275.42 | Professional | None (both parts) | $58.88 | $77.62 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $47.86 | $131.83 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $24.55 | $30.90 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $89.13 Typical High $177.83 | Professional | TC · Technical part | $21.38 | $89.13 | $177.83 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $28.18 Typical High $37.15 | Professional | 52 · Reduced service | $25.70 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.22 Typical High $15.14 | Professional | 53 · Discontinued | $10.23 | $11.22 | $15.14 |
Where Delaware sits
The same service costs 4.6 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Delaware· 11th of 51
$117
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.